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Dry powder inhaler suitability — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsDry powder inhaler suitabilityGPhC CRA

An 84-year-old man with COPD cannot generate enough inspiratory flow for his dry powder inhaler after a recent stroke. He has good support from his carer and can follow simple steps. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — A pressurised metered-dose inhaler with spacer

Dry powder inhalers require adequate inspiratory flow. If a patient cannot use the device effectively, a pressurised metered-dose inhaler with spacer may improve delivery. Device choice should reflect dexterity, inspiratory flow and carer support. A larger label may improve readability but does not overcome the device problem.

Reference: BNF; NICE CKS